Individual
DANIELLE NICOLE SHEA TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS NUTRITION, LDN
Contact information
Practice address
8 MOUNT VERNON ST, MARBLEHEAD, MA 01945-2314
(617) 921-7977
Mailing address
8 MOUNT VERNON ST, MARBLEHEAD, MA 01945-2314
(617) 921-7977
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
MA
Other
Enumeration date
01/18/2018
Last updated
12/07/2021
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